三瓣法预防腭裂术后腭前瘘临床效果观察
Journal of Dental Prevention & Treatment(2018)
Abstract
目的 观察腭前部裂隙大于0.5 cm的腭裂患者,应用三瓣法预防腭裂术后腭前瘘的效果.方法 选取18~24月腭裂患儿12例,患儿均为单侧完全性腭裂,采用三瓣法修复,即在传统两瓣法基础上,在患儿健侧腭前部做一蒂部在裂隙缘、大小约占前腭一半左右的黏骨膜瓣,翻转与对侧鼻腔黏膜边缘缝合,松弛裂隙两侧黏骨膜瓣分层对位缝合,术后两周拆线,随访观察腭裂术口恢复情况.结果 12例患儿术后愈合良好,3个月后无腭瘘以及其他并发症,效果良好,腭部形态良好.结论 三瓣法修复腭裂可以较好封闭腭前部裂隙.
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Key words
Palate cleft,,Fistula,,Three⁃flap paltoplasty,,Indications,
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